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General NPI Number Information
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NPI Number | 1376179705
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Entity Type | Organization
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Legal Business Name | ARAA HOME CARE, LLC
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Dates
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Enumeration Date | 03/17/2020
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 2020 AVALON PKWY STE 380
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City | MCDONOUGH
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State | GA
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Zip | 30253-3088
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Country | US
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Telephone | 678-833-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 AVALON PKWY STE 380
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City | MCDONOUGH
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State | GA
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Zip | 30253-3088
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Country | US
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Telephone | 443-632-7109
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MIRIAM T TALES
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Credential |
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Telephone | 443-632-7109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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